| NPI | 1376115428 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0207X Medical Genetics, Medical Biochemical Genetics (Licence: TX 48420) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: TX 48420) | |
| Enumeration Date | 2021-07-16 |
| Last Update Date | 2024-09-24 |